【目的】 基于“五运六气”理论探讨老年痴呆人群先天禀赋特点及差异。【方法】 根据2018年中国健康与养老追踪调查 （CHARLS）的横断面数据，采用简易精神状态检查表（MMSE）评价中国60周岁及以上人群痴呆情况，并通过描述性统计与卡 方拟合优度检验分析老年痴呆人群出生时五运六气特点。【结果】 本研究共纳入854例老年痴呆患者，出生日期天干分布为丙 的人数最多，己、庚的人数最少（P＜0.001）；地支分布为未的人数最多，子的人数最少（P＜0.001）；岁运分布水运太过人数 最多，金运太过和土运不及人数最少（P＜0.001）；司天-在泉分布为太阴湿土司天-太阳寒水在泉的人数最多，厥阴风木司 天-少阳相火在泉的人数最少（P＜0.05）；主、客气分布差异均无统计学意义（P＞0.05）；运气相合分布为顺化年的人数最多， 同天符年的人数最少（P＜0.001）；顺化年干支分布为甲午年人数最多（P＜0.001）。【结论】 老年痴呆人群出生时的运气禀赋与发 病具有一定关系，老年痴呆好发的运气因素为：岁运为水运太过，司天-在泉为太阴湿土司天-太阳寒水在泉，运气相合为 顺化年，易伤及肾、心、脾而致病。

Objective To investigate the characteristics and differences of congenital endowment in senile dementia population based on the theory of five circuits and six qi. Methods Based on the cross-sectional data of China Health and Retirement Longitudinal Survey （CHARLS） in 2018，the dementia status of the population aged 60 and above in China was evaluated by using the Mini-Mental State Examination （MMSE），and the five-circuit and six-qi features at birth in the senile dementia population were analyzed by descriptive statistics and Chi-square goodness-of-fit test. Results A total of 854 patients with senile dementia were included. The five-circuit and six-qi features at birth in the senile dementia population were as follows：most of them were born at the heavenly stem of Bing while the least at the heavenly stem of Ji and Geng（P＜0.001），most of them were born at the earthly branch of Wei while the least at the earthly branch of Zi（P＜0.001）， most of them were born at the yearly circuit of excessive water circuit while the least at the yearly circuit of excessive gold circuit and deficient earth circuit （P＜ 0.001），and most of the patients were born at sitan of taiyin damp-earth and zaiquan of taiyang cold-water while the least at sitan of jueyin wind-wood and zaiquan of shaoyang ministerial fire； no statistically significant differences were found in the dominant qi and guest qi（P＞0.05）；most of the patients were born in the year of combination of circuit and qi being Shunhua while the least in the year of combination of circuit and qi being same celestial correspondence（P＜0.001）， and the patients born in the year of Shunhua usually were frequently distributed in heavenly-stem and earthly-branch year of Jiawu（P＜0.001）. Conclusion There is a certain relationship between the congenital endowment at birth and the incidence of senile dementia in the population of senile dementia. The circuit-qi features at birth for the prevalence of senile dementia are the yearly circuit of excessive water circuit， sitan of taiyin damp-earth and zaiquan of taiyang cold-water， and the year of the combination of circuit and qi being Shunhua. The population born at the time with the above circuit-qi features are prone to suffer the injury of the kidneys，the heart，and the spleen，and then result into illness.

R277.7

福建省自然科学基金面上项目（编号：2021J01947）